Peptide Handbook

Kondition Coaching · peptide education

The Peptide Handbook

Everything you need on peptides in one place. What each one does, what the research shows, the doses people actually use — and how to stay safe buying in a market nobody regulates.

Evidence-gradedSafety-firstIndependent · nothing sold here
Kondition Coaching logo
Read this first.

Education plus the commonly-reported figures, with honest caveats — not prescriptions, not medical advice, and not a plan to follow. Kondition doesn't sell, supply or source peptides — we sell coaching. Licensed peptides are prescription-only medicines; anything "research use only" is unapproved for human use. Considering anything in here? The right move is baseline bloodwork and a conversation with a qualified clinician.

New to peptides? Start here

Jump straight in

The one distinction that matters

Every page in this handbook hangs off this difference. Get it straight and you're ahead of 95% of the internet.

Licensed medicines

A handful are proper approved medicines — semaglutide, tirzepatide, tesamorelin, bremelanotide. Made to pharmacy standards. Tested on thousands of people. Prescribed by a doctor who checks on you. When peptides make headlines for working, it’s these ones.

Research-use-only

Most sold online — BPC-157, TB-500, CJC-1295, ipamorelin — carry a “for research use only” label. That’s a legal get-out, not a safety check. Nobody inspects how they’re made, and vials have tested as contaminated or mislabelled. Every card here shows you how far its research has got.

Where coaching fits

Straight up: this handbook is published by a coaching business, and we don't sell compounds.

One pattern repeats across this whole site: none of them do the work for you. A weight-loss jab takes the appetite problem away. It doesn’t train you. It doesn’t teach you how to eat. And it doesn’t stop the weight coming back when you stop taking it. That part is coachable — and it’s the part we do.

What we actually do →

The snapshot

~1 in 8
US adults are currently taking a GLP-1 medicine
KFF / Forbes Health
$42bn+
GLP-1 sales, Lilly + Novo, 2024 alone
company earnings
~100
peptide medicines approved since insulin (1922)
PeptideJournal
1 study
human BPC-157 trials that met review criteria, of 544 screened
2025 systematic review

Full numbers on Statistics · the trial receipts live on Research.

Learn

What are peptides?

Short chains of amino acids that act as the body's signalling molecules. How they work, how they're given, and the families you'll actually hear about.

IN 30 SECONDS
  • Peptides = short amino-acid chains your body already uses as messengers.
  • Most have to be injected — your gut destroys them as tablets.
  • The word covers licensed medicines AND untested lab chemicals.
  • Judge every compound on its own evidence, never by the category.

A simple definition

A peptide is a short chain of amino acids. Amino acids are the building blocks of protein — so a peptide is basically a very small piece of protein. Usually 2 to 50 of them linked in a row. Longer chains are called proteins.

  • Your body already makes thousands of them. They’re messengers: they carry instructions between cells.
  • Each one fits a specific receptor — a docking point on a cell — like a key fits one lock. That’s why tiny doses can do one specific job.
  • None of this is new. Insulin was the first peptide medicine, back in 1922. Semaglutide works the same way, a century later.

How they work in the body

Nearly all of them work the same basic way: they copy a signal your body already sends, or make it louder. (The technical word is agonist — something that switches a receptor on.) Four of these cover almost everything here:

  • Appetite hormones copied (semaglutide, tirzepatide, retatrutide) — they copy gut hormones that tell your brain you’re full, and slow how fast your stomach empties. This is the weight-loss group.
  • Growth-hormone releasers (sermorelin, CJC-1295, ipamorelin, tesamorelin) — instead of injecting growth hormone, these tell the gland in your brain that makes it to release more of your own.
  • Repair peptides (BPC-157, TB-500) — these act on how your body grows new blood vessels and moves repair cells into damaged tissue. That’s why they’re used for injuries.
  • Melanocortin peptides (PT-141, melanotan) — these work on brain pathways for sexual desire, and on the cells that make skin pigment.

Why they're injected

  • Peptides are fragile. Swallow one and your stomach breaks it apart before it can do anything.
  • So nearly all are injected just under the skin, into the fat layer. That’s what “subcutaneous” means.
  • A few are exceptions — some nasal sprays, and MK-677, which is a tablet because it isn’t technically a peptide.
  • That same fragility is why storage and preparation matter so much.

The main families

FamilyExamplesMarketed forHonest status
Metabolic / GLP-1Semaglutide, tirzepatide, retatrutideWeight loss, type-2 diabetesStrong — licensed
GH secretagoguesTesamorelin, sermorelin, CJC-1295, ipamorelin, MK-677Raise natural GH / IGF-11 approved, rest weak
Healing & recoveryBPC-157, TB-500Tendon, gut, soft tissueResearch stage mechanism and preclinical work, human trials early
Skin & cosmeticGHK-Cu, MatrixylCollagen, anti-ageingTopical reasonable
Sexual healthPT-141Low sexual desireApproved (women)
ImmuneThymosin Alpha-1Immune supportApproved abroad
NootropicSemax, SelankCognition, anxietyRussia only
Key takeaway.

"Peptide" is not one thing. The word spans billion-pound licensed medicines and untested chemicals from anonymous websites. Judge every compound on its own evidence — never assume that because one is proven, the next is too.

Learn

Uses & the honest evidence

Class by class: what it's used for, and how strong the human evidence really is.

LicensedStrongModerateWeakResearch only
IN 30 SECONDS
  • GLP-1 medicines: proven, licensed, 15–22% average weight loss in trials.
  • GH secretagogues: reliably raise GH and IGF-1; outcome data in healthy adults is thinner.
  • BPC-157 and TB-500: strong mechanistic work, human trials still early.
  • Skin peptides: reasonable as creams; injected is a different risk entirely.

GLP-1 / metabolic Strongest evidence

  • Semaglutide (Wegovy, Ozempic) and tirzepatide (Mounjaro) — licensed for diabetes and weight management.
  • Trials in thousands of people: ~15–22% average weight loss.
  • Retatrutide (still in trials) has posted bigger numbers again.
  • Real side effects — mostly gut — and real screening needed.
VerdictThe one class that genuinely delivers — through a prescriber, alongside training and nutrition, never instead of them. See keeping muscle and what happens when you stop.

GH secretagogues Effect real, outcomes thinner

  • Tesamorelin — the one real licence (US, visceral fat in HIV lipodystrophy).
  • CJC-1295 / ipamorelin — raise GH in small studies; no trials showing muscle, fat-loss or performance results.
  • Sermorelin — once approved, withdrawn commercially.
  • MK-677 — two years of youthful IGF-1, zero strength gain; a frailty trial stopped over heart-failure signals.
VerdictThe hormone effect is real and measurable. What's less settled is how much that converts into size and strength in healthy adults who already train.

Healing & recovery Early human evidence

  • The two most-used recovery peptides in the gym world.
  • BPC-157: a large animal literature, with one qualifying human study so far.
  • TB-500: human work to date sits mainly in wound-healing and eye research.
  • Both unapproved. Both banned in sport.
VerdictBoth are used for the same job with early human evidence — and the bigger practical risk is what's actually in the unregulated vial.

Skin & cosmetic Topical = reasonable

  • GHK-Cu and Matrixyl — decent evidence and long track records as creams and serums.
  • Topical = low risk. Modest, gradual, real.
  • Injectable GHK-Cu — no human safety data; restricted from US compounding.
VerdictFine in skincare. Injecting it is a different bet entirely.

Sexual health Licensed

  • PT-141 — FDA-approved for low sexual desire in premenopausal women.
  • Works on brain desire pathways, not blood flow.
  • Male use is off-label, not the approved indication.
  • Expect nausea, flushing, brief blood-pressure rises.
VerdictA real approved medicine — with a narrow licence and honest side effects.

Immune & nootropic Approved abroad

  • Thymosin Alpha-1 — approved in 30+ countries, good safety record, not FDA-marketed.
  • Semax / Selank — Russia-only approvals; Western-standard evidence thin.
  • All unlicensed in the UK, EU and US — supply here is grey.
VerdictInteresting compounds, real approvals elsewhere — but nothing you can get legitimately here.

Side effects by class

GLP-1 class

  • Common: nausea, vomiting, diarrhoea, constipation.
  • Watch for: pancreatitis, gallbladder disease; rodent thyroid-tumour warning.

GH secretagogues

  • Common: water retention, joint aches, flushing, site reactions.
  • Watch for: raised blood sugar; MK-677 heart-failure signal; theoretical growth risk around cancers.

Healing peptides

  • Common: largely unknown in humans — that IS the finding.
  • Watch for: contamination from unregulated sourcing.

PT-141 / melanocortins

  • Common: nausea, flushing, headache.
  • Watch for: brief blood-pressure rise; pigment changes with repeated use.
Worth repeating.

"Research use only" is not "proven safe". For any unapproved peptide, the person injecting it is the experiment.

Learn

Research & clinical case studies

Landmark trials in plain English — who was studied, what happened, how strong it is. The gap between what's claimed and what's been proven in humans is the whole story of this space.

IN 30 SECONDS
  • Semaglutide + tirzepatide: trials in thousands of people, big results.
  • Retatrutide: even bigger numbers — still not an approved medicine.
  • BPC-157: a large animal literature, one qualifying human study so far.
  • MK-677: two years of youthful IGF-1 and deeper sleep, without a strength gain.
Strong

Semaglutide for obesity — STEP 1

NEJM 2021 · 1,961 people · 68 weeks

Weekly semaglutide 2.4 mg: −14.9% average body weight vs −2.4% placebo; 86% lost at least 5%. GI side effects common. The trial behind Wegovy's licence.

Strong

Tirzepatide for obesity — SURMOUNT-1

NEJM 2022 · 2,539 people · 72 weeks

Mean loss 16.0% / 21.4% / 22.5% at 5/10/15 mg vs 2.4% placebo among people who stayed on treatment; counting everyone who started, the top dose averaged 20.9% vs 3.1% (the figure on the compound card). A later head-to-head (SURMOUNT-5) beat semaglutide directly. Strongest weight-loss data of any licensed class.

Investigational

Retatrutide — phase 2 & TRIUMPH phase 3

NEJM 2023 (338 people) · TRIUMPH topline Dec 2025 (445 people, 68 wks)

Up to −24.2% at 48 weeks in phase 2; TRIUMPH reported up to −28.7% plus osteoarthritis pain relief. Still unapproved — striking data, not yet a medicine. Anything sold as "retatrutide" today is grey-market.

Approved use

Tesamorelin in HIV-associated lipodystrophy

AIDS, June 2024 · 38 people · 12 months

Visceral fat −16%, liver fat down about 37% relative (roughly 4 percentage points); two-thirds hit a meaningful visceral-fat reduction vs 13% on placebo, no adverse glucose effect. Still the only approved therapy for this condition.

Mechanistic

GHK-Cu skin regeneration review

Pickart & Margolina, Cosmetics 2018

Documented effects on collagen, decorin and DNA-repair gene expression — with the authors themselves stressing the evidence is largely preclinical and calling for proper human trials.

Early evidence

BPC-157 — where the research stands

2025 review · 544 articles screened

A large, consistent animal literature on tendon, ligament and gut-lining repair — 35 of 36 studies — with one qualifying human study to date and a handful of small uncontrolled reports. The mechanism is well described; controlled human outcome data is the piece still being built.

Mixed result

MK-677 (ibutamoren) — the two-year trial

Nass et al., Ann Intern Med 2008 · 65 older adults · 2 years

GH and IGF-1 restored to youthful levels and ~1.1 kg of fat-free mass gained at the one-year mark — the trial's main measure — in this two-year study, with deeper sleep reported alongside. Strength and physical function didn't shift, and a separate frailty trial was halted after more heart failure on drug — which is why the risk rating sits where it does.

References

  • Wilding JPH et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). N Engl J Med 2021. doi:10.1056/NEJMoa2032183
  • Jastreboff AM et al. Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1). N Engl J Med 2022. doi:10.1056/NEJMoa2206038
  • Tesamorelin in people with HIV on integrase inhibitors. AIDS 2024. PMC11365754
  • Jastreboff AM et al. Triple-Hormone-Receptor Agonist Retatrutide for Obesity (Phase 2). N Engl J Med 2023. doi:10.1056/NEJMoa2301972
  • Eli Lilly. Retatrutide TRIUMPH Phase 3 topline results, Dec 2025 (investor release)
  • Pickart L, Margolina A. Skin Regenerative and Anti-Cancer Actions of Copper Peptides. Cosmetics 2018 (MDPI)
  • BPC-157 human trials — systematic review summary, 2025 (peptide-db)
  • Nass R et al. Ghrelin mimetic MK-677 in healthy older adults. Ann Intern Med 2008

Where a journal link is paywalled, the DOI locates the paper. Secondary sources only summarise underlying trials.

Learn

Fifteen facts worth knowing

The science, the market and the safety realities — fast orientation, sourced. Split by theme.

The science

01

The body's text messages

Thousands of peptides already run your physiology — short amino-acid chains carrying orders between cells: release this, repair that, stop eating.

02

Insulin started it all

Isolated in 1922, insulin was the first peptide medicine — still the proof-of-concept every peptide drug builds on.

03

The GLP-1 boom began with a lizard

Exendin-4, found in Gila monster saliva, became exenatide (Byetta) — and opened the path to semaglutide and tirzepatide.

04

Copper peptide touches a third of your genes

In gene-profiling work, GHK-Cu influenced expression of roughly 31% of human genes — repair and DNA-maintenance genes among them. Still largely preclinical.

05

GH arrives in pulses

Growth hormone releases in bursts, biggest in early deep sleep — why GH peptides are usually taken at bedtime on an empty stomach.

Medicine & the market

06

~100 approved in a century

Roughly 100 peptide medicines licensed since insulin — and peptides were ~10% of new FDA approvals 2020–2024, the busiest stretch on record.

07

1 in 8 US adults

Survey data puts GLP-1 use at about one in eight US adults — over one in five among people aged 50–64.

08

A $40bn-a-year category

Lilly and Novo Nordisk sold $40bn+ of GLP-1 drugs in 2024 alone — one of the fastest commercial ramps in pharma history.

09

PT-141 works on the brain

Unlike Viagra-type drugs acting on circulation, bremelanotide acts centrally on desire pathways. Different mechanism, different class.

10

Tiny doses, big effects

Receptor targeting means many peptides work at microgram doses — thousandths of everyday milligram medicines.

Safety & the grey market

11

"RUO" is a legal label

"Research use only" is a liability shield, not a safety rating. It means nobody checked this for human use.

12

The 1,000× trap

1 mg = 1,000 mcg. Some peptides are dosed in mg, others mcg — confusing the units is the single most dangerous mistake in this space.

13

"99% pure" can still hurt you

HPLC purity tests don't detect bacterial endotoxin — heat-stable, sterilisation-proof, fever-causing. Purity and sterility are different questions.

14

Popularity runs ahead of trials

A 2025 review of BPC-157 found a big animal literature and one qualifying human study. Plenty of mechanism, human trials still catching up — which is exactly what the evidence ratings show you.

15

A COA proves the paper

Even a genuine certificate covers one tested batch — not the vial in your hand. Independent testing is the only real proof.

Expanded with citations across the handbook: Research for the evidence · Statistics for the numbers · Dosing for the units · Check a COA for the safety points.

Learn

The boom, in numbers

Market size, GLP-1 sales, how common use has become, and the state of the evidence. Every figure sourced; the audited sales are the hard numbers, projections are direction only.

~1 in 8
US adults are currently taking a GLP-1 (15% of women, 9% of men)
KFF via Forbes Health
$42.4bn
2024 global sales — Ozempic, Wegovy, Mounjaro & Zepbound combined
company earnings
$62.9bn
GLP-1 receptor-agonist market value, 2025
BioSpace
~17.5%
projected annual GLP-1 market growth to 2034
BioSpace
10 → 25m
projected US GLP-1 users, 2025 → 2030
Forbes Health
~100
peptide medicines approved since insulin, 1922
PeptideJournal / THPdb2
~10%
of all new FDA approvals 2020–2024 were peptides
PeptideJournal
1 study
human BPC-157 trials meeting review criteria, of 544 screened
2025 systematic review

GLP-1 drug sales, full-year 2024

Full-year 2024 net sales; growth on 2023: Ozempic +26% · Mounjaro +124% · Wegovy +86% · Zepbound from ~$0 · Rybelsus +26%. Sources: company earnings via Huateng Pharmaceutical / Sherwood News.

The market, and its uncertainty

Peptide-therapeutics market projections vary wildly — roughly $87bn to $295bn by the early-to-mid 2030s depending on definition. Treat as direction, not precision. What's not in doubt: North America held ~60% of the market in 2024, and peptide contract manufacturing is forecast to hit ~$5.7bn by 2030 (~12.5%/yr), driven overwhelmingly by GLP-1 demand.

Reading these numbers.

Strongest: audited company sales and regulatory facts. Softer: market projections and self-reported usage surveys — useful for scale, not precision.

Directory

67 peptides, rated honestly

Every compound you're likely to hear about — profile, evidence badge, commonly-reported dosing where one circulates, and one safety note. Inclusion is never a recommendation.

IN 30 SECONDS
  • 67 compounds, each with an honest evidence badge.
  • Search the box or tap a badge filter to narrow it down.
  • DOSING line = what's commonly reported, never a plan to follow.
  • A green badge is not a green light — read the safety note.
LicensedStrongModerateWeakResearch onlyNot a peptide drug
How to read the cards
  • Green chips — what the compound is used and studied for. How well proven each one is comes from the Evidence rating just below them.
  • Evidence = how far human research has got · Reported = how strongly users and trials say it delivers · Risk = safety + sourcing exposure.
  • UK pill — the legal status here: POM on prescription · not licensed · illegal to sell · cosmetic OK.
  • DOSING — commonly reported figures, never a plan. Full caveats on the dose chart.
  • RESEARCH — real trial links; PubMed where no landmark human trial exists.

Profiles compiled from regulator announcements (MHRA, FDA, EMA), peer-reviewed trials and company releases, current to mid-2026. Fast-moving field — verify anything important against primary sources.

Directory

Compare any two

Category, mechanism, evidence, reported dosing and safety, side by side. Popular pairs get full write-ups on Head-to-heads.

VS

Pick two compounds above.

Read ratings honestly.

A short safety note usually means less is known, not safer. "Approved" always refers to the licensed pharmaceutical product — never grey-market powder under the same name.

Dosing

Dosing, injecting & cycling

Units, kit, routes, sites, technique, timing, stacking and cycling — the complete practical picture.

IN 30 SECONDS
  • mg vs mcg: a 1,000× difference — the single biggest danger.
  • Mixed vials live in the fridge; anything cloudy goes in the bin.
  • Rotate injection sites every time.
  • Online cycling and stacking schedules are conventions, not science.
Frame it right.

This page explains practice so you understand it — it is not a protocol, and unlicensed compounds remain unapproved for human use with real contamination and mis-dosing risk. Medical decisions belong with a clinician, every time.

Units: the 1,000× trap

1 milligram (mg) = 1,000 micrograms (mcg). GLP-1 medicines are dosed in milligrams weekly; many GH and research peptides are quoted in micrograms. Mixing the units is a thousand-fold error — the entire distance between a normal amount and a dangerous overdose lives in one letter. Check the unit before anything else, every time.

Storing peptides

Dry powder (sealed vial)

  • Freezer −20°C for the long haul, or fridge 2–8°C.
  • Cool, dark, upright, in its box.
  • Lasts 1–2 years frozen — check the COA.

Mixed vial (reconstituted)

  • Fridge 2–8°C — middle shelf, not the door (fewer temperature swings).
  • Never freeze a mixed vial.
  • Good ~2–4 weeks with bacteriostatic water · only days with plain sterile.
  • Cloudy, discoloured, particles = bin it. Brief transit at room temp is fine; refrigerate on arrival.

Needles & kit

Two jobs, two needles: moving liquid (thicker, faster) and injecting (as fine as possible). Gauge = thickness; higher number = thinner.

Drawing water

18–23G · 1–1.5″
  • Thicker needle — pierces stoppers, moves liquid fast.
  • Never used to inject.

Injecting (subQ)

29–31G insulin syringe · ≤8 mm
  • Fine and short — barrel + needle one unit (0.3–1 mL).
  • The one that touches skin.

Intramuscular

23–25G · 1–1.5″ · uncommon here
  • Deeper route, different absorption.
  • Only where specifically indicated.

Plus alcohol swabs, bacteriostatic water, clean hands, and a sharps bin. Needles are single-use — reuse blunts them, sharing risks bloodborne infection, neither is negotiable.

Subcutaneous vs intramuscular

Subcutaneous (subQ) = into the fat under the skin with a short fine needle — the route for GLP-1 medicines, tesamorelin, and nearly everything else here. Intramuscular goes deeper, absorbs differently, and is uncommon for these compounds. Everything below is the subQ route.

Injection sites & rotation

1 2 2 3 3 4 4 5 5
  • 1 · Abdomen — easiest, most used; stay 5 cm (2″) clear of the navel.
  • 2 · Flanks / love handles — the fatty band at the sides of the waist.
  • 3 · Front & outer thighs — fleshy front/side, never inner thigh.
  • 4 · Back of upper arms — easier with a helper.
  • 5 · Upper-outer glute — upper outer quarter only; the sciatic nerve runs lower and central. Big, forgiving, hard to reach solo.
Rotate or regret it.

Same-spot injecting causes lumps, scarring and patchy absorption (lipohypertrophy). Fresh spot each time, 2–3 cm from the last; avoid bruises, scars, moles, stretch marks, anything inflamed.

Safe technique, step by step

Standard subcutaneous technique — same method as insulin. First-timers should have a nurse or pharmacist demonstrate. That's the best move, not a disclaimer.

  1. Wash hands properly — soap, water, no shortcuts.
  2. Check the solution: clear, particle-free, in date. Confirm the amount and the unit.
  3. Swab the vial stopper and the skin; let both air-dry.
  4. Draw the dose, flick out air bubbles, expel the air.
  5. Pinch a fold of skin to lift fat away from muscle.
  6. Insert in one smooth motion — 90° for short insulin needles, 45° if very lean.
  7. Inject slowly and steadily; release the pinch.
  8. Withdraw at the same angle; light pressure with clean gauze — don't rub.
  9. Needle straight into the sharps bin. Never household waste, never recapped.
  10. Log it: site, amount, batch number, time.
Stop and get help

for heavy bleeding, severe pain, allergic-reaction signs, or a site turning hot, swollen or weepy. Full red-flag list on Responsible use. Feeling faint — sit or lie down first.

Timing, by class

  • GH secretagogues (ipamorelin, CJC-1295, sermorelin) — bedtime, empty stomach, 1–2h after food. Rides the natural night-time GH pulse; food blunts it.
  • MK-677 (oral) — same time daily, often evening. Long half-life; affects sleep and appetite.
  • GLP-1 medicines — same day each week, any hour, fed or fasted. Consistency beats clock-watching.
  • Healing peptides (BPC-157) — often split morning/evening. Community habit; no established human schedule exists.

Stacking — the honest picture

"Stacking" = running multiple compounds at once — the classic CJC-1295 + ipamorelin pairing, or BPC-157 + TB-500. People stack for theoretical synergy; what it actually multiplies is unknowns: more side-effect sources, more interactions, more contamination exposure, and no way to attribute anything.

  • One at a time. Run a single compound 1–2 weeks before adding anything, so reactions can be traced.
  • Don't mix unknowns in one syringe unless compatibility is actually established.
  • Mind total load — more compounds = more injections = more sterility risk.
  • Short and simple beats long and experimental — and a clinician should steer any combination.

Cycling & receptor tolerance

A period on, a period off. Rationale: receptor desensitisation — hammer a receptor continuously and it responds less, so a break is thought to reset it. Sound pharmacology; but the specific schedules quoted online (the classic "12 on, 4 off" for GH secretagogues) are community conventions. Nobody has trialled them.

Licensed schedules (reference)

MedicineLicensed schedule
Semaglutide (Wegovy)Weekly; titrated 0.25 → 0.5 → 1.0 → 1.7 → 2.4 mg, stepping every 4 wks
Tirzepatide (Mounjaro/Zepbound)Weekly; start 2.5 mg, +≤2.5 mg every 4 wks, max 15 mg
Tesamorelin (Egrifta SV)1.4 mg once daily, subcutaneous, prepared fresh
Titration is the point.

For every GLP-class compound the most common self-dosing mistake is starting too high or climbing too fast. The ramp is the tolerability mechanism, not bureaucracy.

Dosing

Reconstitution & dose reference chart

The commonly reported figures for 25+ compounds in one place — a typical vial, the water people add, the concentration that results, the syringe units that equals, and the dose/frequency/cycle patterns you'll see quoted.

IN 30 SECONDS
  • These numbers = what circulates, not what's proven.
  • The units column is only valid for that exact vial + water row.
  • LICENSED rows are the actual approved schedules.
  • Different vial? Recalculate in the calculator — never carry units across.
Read before the chart.

These are the numbers that circulate — vendor sheets, community sources, and (for licensed medicines) the approved product information. For unlicensed compounds almost none come from human trials: they're conventions, shown so you can sanity-check what you read elsewhere and catch unit errors. The ≈ units column is tied to the exact vial + water in the same row — different vial, different units, recalculate in the calculator. Not prescriptions.

CompoundExample mixConcentrationCommonly reported≈ Units*Reported pattern
GH secretagogues — usually night-time, empty stomach
Ipamorelin5 mg + 2 mL2.5 mg/mL100–300 mcg4–12 uDaily (often pre-bed); ~8–12 wk on / 4–8 off
CJC-1295 with DAC5 mg + 2 mL2.5 mg/mL1–2 mg40–80 u~Weekly (long half-life); ~8–12 wk on / 4–8 off
CJC-1295 no-DAC (Mod GRF 1-29)5 mg + 2 mL2.5 mg/mL100–200 mcg4–8 uUp to 2–3×/day; ~8–12 wk on / 4–8 off
Sermorelin10 mg + 2 mL5 mg/mL200–500 mcg4–10 uDaily pre-bed; ~8–12 wk on / 2–4 off
Tesamorelin licensed10 mg + 1 mL10 mg/mL1.4 mg (licence)14 uOnce daily, prepared fresh
Healing & recovery — doses are conventions, not trial-derived
BPC-15710 mg + 2 mL5 mg/mL250–500 mcg5–10 u1–2×/day; ~4–6 wk on / 2–4 off
TB-50010 mg + 2 mL5 mg/mL1.5–2.5 mg30–50 u2–3×/wk loading → weekly; ~4–6 wk course
KPV10 mg + 2 mL5 mg/mL250–500 mcg5–10 uDaily; ~4–8 wk
Metabolic (GLP class) — weekly + titrated; the ramp is the safety feature
Semaglutide licensed10 mg + 2 mL5 mg/mL0.25–2.4 mg (titration)5–48 uWeekly; step up every 4 wks
Tirzepatide licensed30 mg + 2 mL15 mg/mL2.5–15 mg (titration)17–100 uWeekly; +≤2.5 mg every 4 wks
Retatrutide unapproved10 mg + 1 mL10 mg/mL0.5–2 mg (reported)5–20 uWeekly; stepped every 3–4 wks
Cagrilintide unapproved10 mg + 2 mL5 mg/mL0.3–2.4 mg (reported)6–48 uWeekly; stepped every 2–4 wks
Mitochondrial, immune & longevity
MOTS-c10 mg + 2 mL5 mg/mL2–5 mg40–100 u2–3×/wk; ~4–6 wk on / 4 off
Epitalon Epithalon10 mg + 2 mL5 mg/mL0.5–2 mg10–40 uDaily for 10–20 days; 1–2 courses/yr
SS-3110 mg + 2 mL5 mg/mL1–5 mg20–100 uDaily; ~4–8 wk on / 2–4 off
Thymosin Alpha-15 mg + 1 mL5 mg/mL0.8–1.6 mg16–32 u2–3×/wk; ~4–8 wk on / 8 off
NAD+ not a peptide500 mg + 2 mL250 mg/mL25–100 mg — stings; low end first10–40 u2–3×/wk up to daily; ~4–8 wk on / 4 off
Glutathione not a peptide drug1500 mg + 6 mL250 mg/mL200–600 mg†80–240 u†2–3×/wk; ~4–12 wk on / 2–4 off
Cognitive & sleep
Semax10 mg + 2 mL5 mg/mL200–500 mcg4–10 uDaily; ~2–4 wk on / 1–2 off
Selank10 mg + 2 mL5 mg/mL250–500 mcg5–10 uDaily; ~4–8 wk on / 2–4 off
DSIP10 mg + 2 mL5 mg/mL100–300 mcg2–6 uDaily pre-bed; 2–4 wk then reassess
Skin, tan & libido
GHK-Cu50 mg + 2 mL25 mg/mL1–2.5 mg (also topical)4–10 uDaily; ~6–12 wk on / 2–4 off
Melanotan-210 mg + 2 mL5 mg/mL250–500 mcg5–10 u7–14 day loading, then maintenance
PT-14110 mg + 2 mL5 mg/mL~1 mg20 uOn-demand, not cycled
Popular blends — one vial, several peptides, fixed ratio
BPC-157 + TB-50010 mg (5+5) + 2 mL2.5 mg/mL each~250–500 mcg of each10–20 uDaily or 2–3×/wk; ~4–6 wk course
CJC no-DAC + ipamorelin10 mg (5+5) + 2 mL2.5 mg/mL each~100–200 mcg of each4–8 u1–2×/day pre-bed; ~8–12 wk on / 4–8 off
"Glow" (GHK-Cu+BPC+TB)70 mg + 2.5 mL28 mg/mL~2.8 mg whole blend10 uDaily or 5-on/2-off; ~25 doses/vial
"Klow" (Glow + KPV)80 mg + 2.5 mL32 mg/mL~3.2 mg whole blend10 uDaily or 5-on/2-off; ~25 doses/vial

* Units on a U-100 insulin syringe (100 u = 1 mL), valid only for the example mix in the same row. † A 200–600 mg glutathione amount exceeds one insulin syringe at this concentration — exactly what the calculator exists to catch. "Of each" in blends = one injection delivers that amount of every component simultaneously. Compiled from vendor sheets and community sources, cross-checked against licensed product information where one exists; for unlicensed compounds these are not clinically validated.

Melanotan-2 — specific caution.

One of the most side-effect-prone compounds in circulation: nausea and flushing routine, and it can darken or change moles — the exact warning signs used to catch melanoma. MHRA says don't use it; so does this handbook. New or changing mole = doctor, promptly.

Dosing

How to reconstitute a peptide

Peptides arrive as freeze-dried powder that has to be dissolved before it can be measured. The standard method, the five moves, and the maths.

IN 30 SECONDS
  • Use bacteriostatic water, not plain sterile water.
  • Run water down the glass wall — swirl, never shake.
  • Clear solution or bin it. No exceptions.
  • Mixed vial lasts ~4 weeks in the fridge.

What reconstitution is

Peptides ship lyophilised — freeze-dried into a white pellet, stable while dry. Reconstitution just means adding a sterile liquid so it becomes measurable.

  • Bacteriostatic water is the standard diluent — its preservative keeps a mixed vial usable ~4 weeks in the fridge.
  • Plain sterile water has no preservative — a vial mixed with it is vulnerable within hours.
  • The end product is injected, so sterility is the whole game — contamination means infection or worse.
  • Bacterial endotoxin survives sterilisation and never shows on the HPLC purity tests vendors publish.

The kit

  • Vial of lyophilised peptide
  • Bacteriostatic water
  • Alcohol swabs — for both rubber stoppers
  • Sterile single-use syringe to move the water
  • Clean, flat surface

The five moves

  1. Swab both stoppers. Fresh alcohol wipe on both vials' rubber tops; air-dry. The most commonly cut corner and the likeliest contamination point.
  2. Draw the bacteriostatic water. The amount is a concentration choice, not a fixed rule — more water = weaker, easier-to-measure solution. Calculator below.
  3. Run it down the glass, slowly. Tilt the peptide vial, let water slide down the inside wall. Never jet it onto the powder — shear force can damage the peptide. The step that matters most.
  4. Swirl, never shake. Most peptides dissolve in a minute or two; roll gently if needed. Shaking foams and can denature. Result should be completely clear.
  5. Refrigerate, labelled with the date. 2–8°C, out of light, ~4 weeks with bacteriostatic water. Never freeze a mixed vial.
If it doesn't look right, it isn't.

Cloudiness, floating specks, stubborn undissolved material, persistent foam — stop and discard. A vial costs pounds; an infection costs a lot more.

The calculator

U-100 insulin syringe: 100 units = 1 mL. Concentration = peptide ÷ water. Worked arithmetic — never carry a unit figure from any chart to a different vial.

10 units
2,500 mcg/mL0.10 mL per dose≈20 doses per vial

Worked example: 5 mg vial + 2 mL water = 2,500 mcg/mL → a 250 mcg amount = 0.10 mL = 10 units ≈ 20 doses per vial.

Storage & when to discard

Mixed vials: refrigerated, dark, dated. Discard if cloudy, particulate, past the preservative window, or stored warm. When in doubt, throw it out.

Dosing

Microdosing vs one larger dose

The buzziest dosing idea going. The theory is real pharmacology; the evidence it delivers better outcomes is thin to absent.

IN 30 SECONDS
  • The theory: flatter blood levels, fewer peaks. Real pharmacology.
  • Evidence it delivers better results: basically none.
  • More injections = more chances for error and infection.
  • However you split a dose, it fixes nothing about what's in the vial.

Two meanings circulate: splitting the same total into frequent small injections, or deliberately running below standard doses (common with GLP-1s to save money or dodge nausea). This page compares frequent-small vs one-larger.

Frequent small dosesOne larger dose
Blood-level curveFlatter, smaller peaksHigher peak, longer decline
The theorySteadier levels, closer to the body's own pulsed rhythmSimple; matches how licensed long-acting versions are designed
Claimed upsideSmoother feel, fewer peak-driven side effectsConvenience, consistency, fewer needle-sticks
Real trade-offMore injections = more error, contamination and site-reaction chances; fiddly part-dosesBigger swings; rougher spike for some drugs
Human evidence it's betterLittle to noneThe studied, licensed schedule for approved drugs
Fixes sourcing risk?NoNo

Where the theory holds

  • Split the same total into smaller doses → flatter blood levels, no peak-and-crash.
  • GH releases in pulses anyway — frequent small doses arguably mimic the rhythm.
  • Many side effects track the peak → lower peak could mean a smoother ride.

Where it runs into reality

  • Side effects can just return more often. Smaller doses clear faster — re-dose and the same effect can come straight back rather than being avoided.
  • More injections = more risk events. Every extra jab is another site reaction, infection or technique-slip opportunity, and tiny part-draws are imprecise plus another contamination chance each time.
  • For licensed GLP-1s the studied schedule is standard titration under a prescriber. No clinical body endorses DIY microdosing, and no evidence shows it matches the trial results.
  • It does nothing about the vial. Microdosing an unlicensed peptide makes it no purer and no better labelled. Sourcing risk identical at any injection frequency.

Bottom line: pharmacokinetic theory, cost and anecdote drive this choice — not outcome data. Pair with the chart, Check a COA and Responsible use.

Dosing

Common peptide stacks

The combinations that actually circulate, grouped by goal — what each stack is, what's in it, how each part is dosed, and the cycle. Reported figures, not protocols.

IN 30 SECONDS
  • Stacks = 2+ compounds run together for one goal — grouped below: fat loss · muscle & sleep · recovery · energy & longevity.
  • No stack has ever been trialled as a stack — pairings are community convention.
  • Golden rule: introduce ONE compound at a time, 1–2 weeks apart.
  • Same caveats as the dose chart — and bloods before anything.

Fat loss & recomp

The recomp stack — GLP-1 + GH secretagogue

Fat lossMuscle sparing (claimed)Sleep & recovery
What it isThe proven fat-loss engine with a GH layer on top — community theory says GH support protects sleep, recovery and lean mass while calories crash.
Semaglutide or tirzepatideLicensed GLP-1 medicines — appetite down, weight off (15–22% in trials).Licensed titration only · weekly · prescriber-managed, full stop
Ipamorelin (± CJC-1295 no-DAC)Selective GH releaser — clean pulse, no cortisol rise.100–300 mcg · pre-bed, empty stomach
CycleGLP-1 runs continuously under the prescriber; GH layer 8–12 wks on / 4–8 off.Watch outMuscle-sparing is theory — training + protein do the real protecting. Glucose pulls both ways (GLP-1 lowers, GH raises): bloods.

Metabolic overdrive — Retatrutide + MOTS-c

Fat loss (max)Metabolic rateEnergy & enduranceLiver fat
What it isThe heaviest grey-market fat-loss pairing: the triple-agonist doing the appetite/weight work, MOTS-c layered for cellular-energy and endurance (mostly-preclinical evidence).
RetatrutideTriple GLP-1/GIP/glucagon agonist — biggest trial weight loss recorded (−24%); unapproved, grey-only.Reported: 0.5–2 mg weekly, stepped every 3–4 wks
MOTS-cMitochondrial peptide — insulin sensitivity and exercise capacity in animal work; human trials not run.Reported: 2–5 mg, 2–3×/week (4–15 mg/wk total)
CycleReta titrates continuously; MOTS-c ~4–6 wks on / 4 off.Watch outTwo unapproved compounds. Heart rate up on reta; hydration + electrolytes when appetite crashes; IGF-1/glucose/HbA1c on bloods.

The belly-fat stack — Tesamorelin + Ipamorelin

Visceral (belly) fatLiver fatBody recompositionSleep
What it isThe clinic favourite for stubborn midsection fat: the one GH peptide with a real licence for visceral fat, plus a night-time pulse from ipamorelin.
TesamorelinGHRH analogue — licensed (US) for visceral fat; −15–18% visceral fat and −37% liver fat in trials.Reported: 1–2 mg once daily subQ (licence: 1.4 mg), prepared fresh
IpamorelinSelective GH releaser for the natural night pulse.100–200 mcg · pre-bed, empty stomach
CycleClinics run 3–6 months continuous, then reassess on DEXA/bloods.Watch outIGF-1 and glucose climb on both — test at 6–8 wks. Effects reverse when you stop.

Muscle, size & sleep

The GH classic — CJC-1295 + Ipamorelin

Deeper sleepRecoveryLean-mass support (claimed)Anti-ageing (claimed)
What it isThe most-run GH stack. Two different receptors — the theory is one bigger, cleaner GH pulse than either alone. GH and IGF-1 genuinely rise; physique outcomes never trialled.
CJC-1295 (no-DAC / Mod GRF 1-29)Synthetic GHRH — tells the pituitary to fire; ~30-min action window.100–200 mcg · 1–3×/day; last shot pre-bed, empty stomach
IpamorelinGhrelin-receptor GH releaser — sharpens the same pulse via the second pathway.100–200 mcg · same timing, usually drawn together
Cycle8–12 wks on / 4–8 off. Food blunts the pulse — dose 1–2h after eating.Watch outIGF-1 + fasting glucose on bloods. Water retention or tingly hands = dose too high.

The sleep-and-size stack — MK-677 + Ipamorelin

Deep sleepAppetite (bulking)Muscle fullnessRecovery
What it isOral all-day GH-axis pressure plus a clean injectable pulse at night — popular in bulks for the sleep + appetite combo.
MK-677 (ibutamoren)Oral ghrelin-mimetic (not a peptide) — +50% deep sleep and youthful IGF-1 in trials, but no strength gain and glucose climbs.10–25 mg oral · same time daily, usually evening
IpamorelinInjectable GH pulse on top of MK's baseline elevation.100–200 mcg · pre-bed, empty stomach
CycleMK-677 daily (long half-life); ipamorelin 8–12 on / 4–8 off.Watch outDouble stimulation of one axis: IGF-1, fasting glucose, HbA1c — non-negotiable. Water retention common; MK had a heart-failure signal in frail elderly.

Recovery & repair

The recovery stack — BPC-157 + TB-500

Tendon & ligament recoveryFaster injury healingFlexibilityGut repair (BPC)
What it isThe injury pairing — sold as complementary mechanisms (repair signalling + cell migration). Both have strong mechanistic support; the combination itself hasn't been trialled as a pair.
BPC-157Stomach-protein fragment — the internet's favourite healing peptide; 3 small human pilots, nothing controlled. (“Pentadeca arginate/PDA” = the same molecule, different salt.)250–500 mcg · 1–2×/day through the course
TB-500Thymosin-β4 fragment — works on actin and cell migration, the repair side of recovery.2–2.5 mg · 2×/wk for wks 1–4 (loading), then 1×/wk
Cycle4–6 week course, then reassess. “Inject near the injury” is habit — absorption is systemic either way.Watch outBoth WADA-banned. Loaded, progressed rehab is the proven bit — the stack is the gamble on top.

“Glow” — GHK-Cu + BPC-157 + TB-500

Skin quality & glowHealingAnti-ageing (claimed)
What it isA pre-mixed blend vial (typically 50/10/10 mg per 70 mg) sold as a skin-and-recovery all-rounder.
Glow blend (70 mg vial)GHK-Cu (skin/collagen — evidence is topical) + BPC + TB in fixed ratio.Mix 70 mg + 2.5 mL bac water → ~2.8 mg per shot ≈ 10 units · daily or 5 on / 2 off · ~25 doses/vial
CycleRun the vial (~4–5 weeks), then break.Watch outFixed ratios can't be tuned — if something helps or bites, you can't tell which part. GHK-Cu's controlled human results are from topical use.

“Klow” — Glow + KPV

Gut & skin inflammationHealingIBD support (claimed)
What it isThe Glow blend with KPV added for its anti-inflammatory angle (rodent-model evidence).
Klow blend (80 mg vial)Glow's three + KPV, an α-MSH-derived tripeptide studied for gut and skin inflammation.Mix 80 mg + 2.5 mL bac water → ~3.2 mg per shot ≈ 10 units · daily or 5 on / 2 off · ~25 doses/vial
CycleRun the vial (~4–5 weeks), then break.Watch outFour compounds, one syringe, zero combo trials — the attribution problem doubled.

Energy & longevity

The engine-room stack — MOTS-c + CJC/Ipamorelin

Energy & enduranceRecoveryMetabolic healthSleep
What it isMitochondrial support layered under the GH classic — run by people chasing training output and recovery in the same block.
MOTS-cMitochondrial-derived peptide — endurance/insulin-sensitivity story is animal-based; human trials not yet run.2–5 mg · 2–3×/week (often training days)
CJC-1295 no-DAC + IpamorelinThe GH pulse pair (see the GH classic above).100–200 mcg of each · pre-bed, empty stomach
CycleMOTS-c 4–6 wks on / 4 off; GH pair 8–12 on / 4–8 off.Watch outAll unapproved; stacking three compounds = introduce one at a time, weeks apart. IGF-1 + glucose on bloods.

The deep-reset stack — Epitalon + DSIP

Sleep & circadian reset (claimed)Longevity (claimed)Stress recovery (claimed)
What it isThe longevity-community pairing: a pineal-derived tetrapeptide run in short courses, with a sleep peptide at night.
EpitalonKhavinson tetrapeptide — longevity claims rest on one unreplicated Russian cohort; telomerase story is cell-dish work.0.5–2 mg daily for 10–20 days · 1–2 courses per year
DSIP“Delta sleep-inducing peptide” — small 1980s insomnia studies, mixed results.100–300 mcg · pre-bed, 2–4 wks then reassess
CycleEpitalon in short annual courses; DSIP 2–4 wks then judge honestly.Watch outWeakest evidence section of this page — treat results as experiment-of-one. Nothing here replaces sleep hygiene basics.
The pattern to notice.

Every stack layers something less-established onto something that already works on its own — training, nutrition, or a licensed medicine. One compound at a time, lowest effective dose, bloods before and during, beats every clever combination on this page.

Stay safe

Take this to your GP

This handbook says "talk to a clinician" on nearly every page. Here is how to actually have that conversation — what to say, what to ask, what to bring. Print it or screenshot it.

IN 30 SECONDS
  • Be straight about what you're taking or considering. They've heard it before.
  • They can't help you safely with half the picture.
  • Bring: what it is, dose, how long, everything else you take.
  • Ask for baseline bloods even if the answer is "I wouldn't".

Say it plainly

"I'm considering using a peptide called ___ that I'd be buying online. I know it isn't licensed. I'm not asking you to prescribe it — I want to know if there's any reason it would be a bad idea for me specifically, and I'd like baseline bloods."

That sentence does three things: it's honest, it removes the pressure to prescribe, and it asks for something they can actually give you.

Nobody is going to report you.

UK doctors have a duty of confidentiality and no obligation to involve anyone else because you asked about an unlicensed compound. Fear of judgement is the single biggest reason people take these things unsupervised — which is the actual danger.

Six questions worth asking

  1. Given my history, is there any reason this would be riskier for me than for most people?
  2. Can we do baseline bloods — full blood count, HbA1c and fasting glucose, liver, kidney, lipids, and IGF-1 if it's a growth-hormone compound?
  3. Does it interact with anything I'm already on, including the contraceptive pill?
  4. What symptoms should make me stop immediately and contact someone?
  5. If I'm after weight loss — am I eligible for a licensed medication on prescription or through an NHS service?
  6. Can we recheck bloods in 8–12 weeks so we're comparing against my own baseline?

Bring this with you

  • The exact compound name and, if you have it, the batch number and the COA.
  • Dose, frequency, and how long you've been taking it or intend to.
  • Everything else — prescriptions, supplements, TRT, alcohol intake, recreational anything.
  • Your goal, honestly. "Lose four stone" gets different advice from "get my arm right for rugby".
If you'd rather not use your GP.

Regulated private services can run the same bloods without a referral. What matters is that somebody qualified sees your numbers — not which door you go through. What doesn't count: the vendor, a forum, or a coach. Including us.

Printing this.

Use your browser's print or "Save as PDF" and take the page with you. Nothing here is medical advice — it's a script for asking better questions.

Kondition

Where coaching fits

This handbook doesn't sell compounds and never will. But it's published by a coaching business, and it's fair to be direct about what we actually think works.

IN 30 SECONDS
  • Nothing in this handbook replaces training, food and sleep being right.
  • The people who get the best results from a GLP-1 are the ones who lift and eat properly on it.
  • What happens when you come off is decided by the habits you built while you were on.
  • That part is coachable. That part is our job.

The honest position

If you read this whole site, one pattern shows up on nearly every page: the licensed medicines do something real, most of the grey-market compounds don't have the evidence people think, and none of them do the work.

A GLP-1 removes the appetite problem. It doesn't build a body, teach you to eat, or make you strong. Left alone it takes muscle out with the fat, and the weight tends to find its way back when it stops. That isn't an argument against the drug — it's an argument for having the rest of it handled.

What we actually do

Training that protects muscle

Progressive resistance work built around your life, not a template. In a deficit — medicated or not — this is what decides whether you end up smaller-and-softer or leaner-and-stronger.

Nutrition you'll keep doing

Enough protein, enough food, structured so it survives a bad week. Appetite suppression makes under-eating easy and that's how people lose the wrong tissue.

Accountability

The boring one that actually moves the needle. Weekly check-ins, adjustments, someone who notices when you go quiet.

Straight answers

Our coaches are briefed on everything in this handbook. Ask about a compound and you'll get the honest evidence, not a sales pitch — and a push toward a clinician when that's the right answer.

What we don't do.

We don't sell, supply, source or recommend peptides. We don't tell you what to take or what dose. We don't have an affiliate deal driving anything on this site. If you want a coach who'll put you on something, we're the wrong gym.

If you want the work done properly

Have a look at what it’s produced for other people, watch how the coaching actually works, or just drop me a message and I’ll tell you honestly whether we can help.

Do the part that actually works

Training, nutrition and accountability — built around you. Watch how it works and apply if it fits — or just DM me “KON” if you’ve got a question first.

See client results →  ·  Instagram →  ·  konditioncoaching.co.uk →

Kondition

How this was built

Who wrote this, where the information comes from, how the ratings are decided, and how to tell us we've got something wrong.

IN 30 SECONDS
  • Published by Kondition Coaching. Independent — nothing on this site is sponsored or affiliated.
  • Built from regulator announcements, peer-reviewed trials and primary reporting.
  • Ratings are editorial judgement, shown openly so you can disagree with them.
  • We are not doctors. Nothing here is medical advice.

Who publishes it

Kondition Coaching — a UK online coaching business. This started as an internal reference so our coaches could answer client questions about peptides accurately instead of guessing, and grew into something worth making public.

We are coaches, not clinicians. We can read and summarise evidence. We cannot examine you, run your bloods, or tell you what's safe for your body — and we won't pretend otherwise.

Where the information comes from

  1. Regulators first — MHRA, FDA and EMA announcements, approvals, warnings and safety communications.
  2. Then peer-reviewed human trials — preferring randomised controlled trials and systematic reviews. Where a landmark trial exists, we link it directly.
  3. Then primary reporting — company trial results and investor releases, clearly labelled as such.
  4. Community and vendor sources are used only to describe what circulates (reported doses, common stacks) — never as evidence that something works, and always labelled.
Why the reported dosing is here at all.

People are going to find those numbers regardless — on forums, from vendors, from whoever sold it to them. Publishing them with the caveats attached, next to the actual evidence, is more useful and safer than pretending they don't exist. They are descriptions of what's reported, not instructions.

How the ratings are decided

Evidence

  • 5 — licensed medicine with large randomised human trials.
  • 4 — strong human trial data, or licensed for a narrow use.
  • 3 — real human trials, limited in size or scope.
  • 2 — small, older or non-Western human trials.
  • 1 — pilot studies or pharmacology; outcome trials still to come.
  • 0 — preclinical only so far.

Reported

  • How strongly effects are reported — by trials and by users.
  • Deliberately separate from Evidence, because popularity and proof are different things.
  • A high Reported score with a low Evidence score is a warning sign, not an endorsement.

Risk

  • Low — topical or licensed with a well-characterised profile.
  • Medium — real side effects, or unknowns plus grey-market sourcing.
  • High — serious documented harms, no human safety data, or a regulator warning against it.

These are editorial judgements, not a validated scoring system. They're shown so you can see our reasoning and disagree with it.

Independence

  • No vendor sponsorship. Nobody pays to appear here or to be rated a certain way.
  • No affiliate links, anywhere on this site. We don't earn a penny if you buy anything.
  • No products sold. Kondition sells coaching. That's the entire business model behind this page.
  • Inclusion is not endorsement. Several compounds here exist in the directory specifically so we can tell you to avoid them.

Currency & corrections

Last reviewed: 20 August 2026. Content is current to mid-2026. This field moves fast — approvals, trial results and regulator positions change, so verify anything important against the primary source before relying on it.

If something here is wrong, out of date, or misleading, tell us and we'll fix it and note the change. Corrections from clinicians and researchers are especially welcome. Reach us via konditioncoaching.co.uk/contact.

The disclaimer that matters.

Educational information only — not medical, pharmaceutical or legal advice, and nothing here is a prescription, protocol or encouragement to obtain, prepare or use any compound. Peptides sold "for research use only" are not approved for human use. Always speak to a qualified clinician about your own health.

Dosing

Stopping & keeping it off

The question almost nobody asks until it's late: what happens when you stop? This is the honest answer, with the trial data — and what actually decides whether the weight stays off.

IN 30 SECONDS
  • Appetite comes back. That's the drug wearing off, not willpower failing.
  • In trials, most people regained roughly two-thirds of what they'd lost within a year of stopping.
  • Nothing about that is inevitable — but nothing about the drug prevents it either.
  • What holds the result is the training and eating you built while you were on it.

What the trials actually found

Semaglutide

STEP 1 extension

327 people · one year after stopping

Average loss of 17.3% while on treatment — this is the 327-person extension sub-group, who lost more than the 14.9% average across the full STEP 1 trial. One year after withdrawal, participants had regained about two-thirds of it — ending around 5.6% below where they started. Blood pressure and lipid improvements drifted back toward baseline too.

Tirzepatide

SURMOUNT-4

670 people · 52 weeks after switching to placebo

People who stopped regained around 14% of body weight, while those who continued lost a further 5.5%. By week 88 the large majority of those who stopped had given back at least a quarter of what they'd lost.

Read that properly.

This isn't "the drug doesn't work" — it plainly does while it's being taken. It's that obesity behaves like a chronic condition: remove the treatment and the underlying drive returns. Regain after stopping is the expected result, not a personal failure. Anyone who told you otherwise was selling something.

Why it happens

  • Appetite rebounds. The signalling that suppressed hunger stops. Food noise returns — often sharply, and often within a fortnight.
  • You need fewer calories than before. A smaller body burns less, so the intake that held your new weight is lower than the intake that held your old one.
  • If you lost muscle, that gap is worse. Lean tissue is metabolically active. Losing it lowers the ceiling further — see keeping muscle while you lose fat.
  • The habits were never tested. If the drug did all the restraint for a year, nothing was learned that survives without it.

What people do instead of stopping dead

These are approaches discussed in clinical practice — the specifics are a prescriber's call, not ours.

Taper rather than stop

  • Stepping down gradually rather than stopping from a full dose.
  • Aim is a softer return of appetite instead of a wall.
  • Entirely a conversation with whoever prescribes it.

Maintenance dosing

  • Some people stay on a lower long-term dose rather than coming off.
  • Increasingly how clinicians frame these drugs — ongoing treatment, not a course.
  • Has a cost and a monitoring burden. Factor both in.

Stop, with the rest in place

  • Realistic if training, protein and food structure are genuinely habitual first.
  • Expect appetite to climb and plan for it rather than be surprised.
  • Track weight weekly so a drift is caught at 3kg, not 15.

What actually holds the result

  • Resistance training you keep doing. The strongest predictor of holding weight loss, and the thing that protects the lean mass keeping your maintenance calories up.
  • Protein high enough to matter. Roughly 1.2–1.6 g per kg of bodyweight per day in the research — hard to hit accidentally when appetite is suppressed, harder still to keep once it returns.
  • A way of eating you didn't hate. If the year on the drug was pure restriction, there's nothing to return to. If it was practice, there is.
  • Weekly monitoring. A number you actually look at, and a plan for what a 3kg drift triggers.
  • Someone watching. Regain is gradual and easy to rationalise alone.
The honest bit.

Every item on that list is coaching, not pharmacology. It's also the part people skip while the drug is doing the work — which is exactly why the regain data looks the way it does. Where coaching fits →

Sources: STEP 1 trial extension (Diabetes Obes Metab 2022) · SURMOUNT-4 (JAMA 2024). Figures are trial averages; individual outcomes vary widely.

Dosing

Keeping muscle while you lose fat

Every big calorie deficit costs some lean tissue — GLP-1s included. Here's what the body-composition data shows, and what actually protects it.

IN 30 SECONDS
  • Roughly a quarter to a third of weight lost on a GLP-1 is lean tissue if nothing else changes.
  • That isn't unique to the drug — it's what large deficits do.
  • Resistance training plus enough protein shifts that split substantially.
  • Muscle isn't vanity here: it's what keeps your maintenance calories high enough to hold the result.

What the data says

  • In trial body-composition substudies, about 25–33% of total weight lost was lean mass — the SURMOUNT-1 substudy put tirzepatide at roughly 75% fat / 25% lean.
  • Real-world cohorts where people trained and ate enough protein look considerably better, with the large majority of loss coming from fat.
  • Studies pairing a GLP-1 with structured resistance training and adequate protein consistently report better lean-mass retention than the drug alone.
  • Some lean loss is normal and expected — a smaller body carries less supporting tissue. The goal is limiting it, not eliminating it.
The bit that gets missed.

Lean mass isn't just muscle you can see — it's the tissue doing most of your daily energy burn. Lose a lot of it and your maintenance calories fall further than they had to, which makes holding the weight harder the moment you stop. It's the mechanical link between this page and what happens when you come off.

What protects it

Lift, properly

  • Two to four resistance sessions a week, taken close enough to failure to matter.
  • Keep loads up as weight comes down — training to maintain strength, not to burn calories.
  • Cardio is fine for health; it isn't what protects muscle.

Eat enough protein

  • Research range: roughly 1.2–1.6 g per kg bodyweight daily.
  • Suppressed appetite makes this genuinely hard — it usually needs planning, not willpower.
  • Protein first at every meal, especially when you only manage two.

Don't crash it

  • Appetite suppression makes accidental under-eating easy.
  • Very low intake accelerates lean loss and wrecks training quality.
  • Slower loss with training beats faster loss without it, every time.
Watch for the signs.

Strength dropping session on session, feeling weak on the stairs, or the scale falling fast while lifts collapse — all suggest too much of the loss is coming from the wrong place. That's a reason to eat more and train harder, not to cut further.

This is the coachable part.

Nothing on this page is pharmacology — it's training, protein and not crashing the deficit. It's also the part people skip while the drug does the visible work, which is why so many finish lighter but softer. If you want it handled properly rather than guessed at, here's how we do it.

Sources: SURMOUNT-1 body-composition substudy · GLP-1 body-composition meta-analyses (2026) · protein and resistance-training literature in energy deficit. Figures are averages across trials.

Stay safe

Responsible use, bloodwork & health checks

What careful, medically supervised use looks like — the checks, the monitoring rhythm, the stop-signs. Read this page before acting on anything else in the handbook.

IN 30 SECONDS
  • Bloods before you start, again at 6–8 weeks, then ~every 3 months.
  • Change one thing at a time.
  • Learn the red flags before you need them.
  • Clinician first — always. That's the whole page in two words.
The most responsible move is a clinician.

Everything below describes what a good doctor puts in place — which is exactly why self-experimenting with unregulated vials is the risk it is. If the budget covers peptides but not bloodwork, the budget is backwards. Kondition's role is education and routing to professionals — never supervising use.

The golden rules

  1. Clinician first — ideally one who knows the specific compound; full honesty about everything being taken.
  2. Baseline bloods before anything — so change is measured against the person's own normal, not a guess.
  3. One change at a time — three compounds at once means never knowing which helped or hurt.
  4. Lowest effective amount — most side effects scale with dose; more is not better.
  5. Verify the product — independent COA, ideally own-sample testing. See Check a COA.
  6. Sterile technique, every time — see Reconstitution.
  7. Track everything — amounts, timing, batch numbers, symptoms, blood trends.
  8. Know when to stop — have the red-flag list before it's needed.

Baseline bloodwork

A sensible baseline catches problems that make peptides a bad idea in the first place — undiagnosed diabetes, kidney or liver issues, cardiac risk. Compound- and person-dependent; a broad panel commonly includes:

CheckWhy it matters
Full blood count (FBC)General health, infection, anaemia baseline
Glucose & HbA1cFlags diabetes/pre-diabetes; GH secretagogues push glucose up, GLP-1s pull it down
Liver function (ALT, AST)Baseline organ health
Kidney function (U&E, creatinine, eGFR)Clearance and baseline organ health
Lipid panelCardiovascular baseline; shifts with metabolic compounds
IGF-1THE marker for anything GH-axis; flags excessive stimulation
Fasting insulinInsulin sensitivity — GH secretagogues can worsen it
Thyroid (TSH)General endocrine baseline
Sex hormones (testosterone, oestradiol)Relevant for GH-axis and reproductive compounds
Blood pressure & resting HRSeveral compounds move these; incretins can raise heart rate
ECG (if cardiac risk)Baseline rhythm where any cardiovascular concern exists
Class priorities.

GH secretagogues: IGF-1 + glucose/HbA1c + fasting insulin — watch for creeping blood sugar. GLP-1 / metabolic: HbA1c, lipids, weight, heart rate — know pancreatitis and gallbladder symptoms, and thyroid family history. Anything injected: watch the site for infection.

Ongoing monitoring

Not one-and-done. Sensible rhythm: baseline → re-test 6–8 weeks → every ~3 months while continuing, plus whenever dose changes or something feels off. Bring the clinician the trend, not one number.

Red flags — stop and seek care

  • Severe allergic reaction — face/throat swelling, breathing difficulty, widespread rash: emergency, 999.
  • Injection-site infection — spreading redness, heat, swelling, pus, fever.
  • Severe or persistent abdominal pain (possible pancreatitis, especially on GLP-1s), or pain boring to the back.
  • Chest pain, palpitations, fainting, persistently racing heart.
  • Sudden vision changes, severe headache, new neurological symptoms.
  • Low blood sugar signs — shaking, sweating, confusion; higher risk alongside insulin or sulfonylureas.
  • Any new or changing mole or lesion — especially around melanotan-type products.
  • Persistent vomiting, jaundice, dark urine.

Who shouldn't go near this

  • Pregnant, trying to conceive, or breastfeeding.
  • Current or past cancer — growth-promoting compounds especially.
  • Uncontrolled diabetes, heart, liver or kidney disease.
  • Personal or family medullary thyroid cancer / MEN2 — hard contraindication for GLP-1s.
  • Competing in tested sport.
  • On insulin or sulfonylureas (hypoglycaemia risk with GLP-1s) or anticoagulants (bleeding considerations with any injectable).

What else you're taking

Most peptide harm in the real world comes from a combination, not a single compound. These are the interactions worth raising with a clinician before anything else.

Medicines

  • Insulin or sulfonylureas + a GLP-1 — genuine hypoglycaemia risk; doses usually need adjusting by the prescriber.
  • The contraceptive pill + tirzepatide — absorption can drop around dose increases; back-up contraception is advised for a period after each step up.
  • Anticoagulants — any injection carries a bruising and bleeding consideration.
  • Anything with a narrow margin (thyroid meds, epilepsy meds, lithium) — GLP-1s slow stomach emptying, which can shift absorption timing.

Alcohol

  • Nausea on a GLP-1 is often much worse with alcohol.
  • Many people report alcohol becoming genuinely unappealing — a documented effect, not imagination.
  • Heavy drinking plus poor intake plus an appetite suppressant is a bad combination for nutrient status.

Supplements & stimulants

  • High-dose stimulants (pre-workout, fat burners) on top of compounds that raise heart rate — additive, and the incretins already nudge heart rate up.
  • Creatine, protein, standard vitamins — no known problematic interaction; keep protein up.
  • Tell whoever runs your bloods everything you take, supplements included.
Surgery, sedation and endoscopy — say something.

GLP-1 medicines slow stomach emptying, so food can remain in the stomach far longer than an anaesthetist expects. That's an aspiration risk under sedation. Declare it at pre-op assessment — professional guidance now advises pausing these medicines before a planned procedure, and the exact timing is the anaesthetic team's call. Same applies before an endoscopy. This is not optional and not embarrassing.

Women: what's different

Contraception & conception

  • Tirzepatide can reduce oral contraceptive absorption around dose changes — use back-up cover.
  • Licensed GLP-1s specify stopping a set period before a planned pregnancy — that period is drug-specific and a prescriber decision.
  • Weight loss can restore ovulation in PCOS: fertility may return faster than expected.
  • Not for use in pregnancy or while breastfeeding.

Evidence gaps

  • Most grey-market peptides were characterised in men, or in animals, or both.
  • Cycle-phase effects on almost all of these compounds are simply unstudied.
  • Melanotan's pigment changes matter more if you already have a lot of moles — a dermatology check first is sensible.

Practical

  • Iron, B12 and protein intake are worth watching when appetite drops hard.
  • Bone density is a long-game consideration with big weight loss — resistance training again.
  • Hair shedding a few months into rapid loss is common and usually about the rate of loss and nutrition, not the drug itself.

The shape of a supervised first 12 weeks

What a properly monitored start actually looks like — descriptive, so you can tell whether the care you're getting is thorough or careless.

  1. Before day 1 — history, contraindications checked, baseline bloods drawn, a clear list of what should make you stop.
  2. Weeks 1–2 — lowest dose. Side effects typically appear here and often settle. Appetite drops noticeably on the incretins.
  3. Weeks 2–4 — first step up if tolerated. Nausea usually tracks the increases, not the drug in general.
  4. Weeks 6–8 — repeat bloods and compare against your own baseline, not a reference range. Dose reviewed against response.
  5. Weeks 8–12 — the honest review: is this doing what it was meant to, at what cost, and what's the plan for coming off? Rate of loss checked against whether strength is holding.
Use it as a yardstick.

If a service prescribes without baseline bloods, never re-tests, and has no answer for "what happens when I stop" — that's not a peptide problem, that's a bad provider. See Check a COA for the product side of the same scepticism.

Getting checks in the UK

GP first if there are symptoms or underlying conditions. Regulated private blood-testing services cover baseline and hormone panels without referral. Either way: whoever interprets the results needs the full picture of what's actually being taken.

A word on the why.

Be honest about the why. If the driver is body-image distress, disordered eating, or pressure to look a certain way, the highest-leverage move is a proper conversation and a GP — not a vial. No physique is worth your health.

Stay safe

The grey market & bogus sellers

Why an unregulated "research chemical" market exists, what's actually been found in vials, and how to tell merely-risky from outright scam.

IN 30 SECONDS
  • “Research use only” is a legal shield, not a safety rating.
  • Real vials have tested as: wrong compound, underdosed, contaminated.
  • No card payment = no chargeback = walk away.
  • Only trust a COA you can verify on the lab's own website.
  • Unapproved peptides can't legally be sold for human use in the UK or US — so they're sold anyway, labelled "for research use only".
  • Regulators call that label a legal fiction; the marketing winks at exactly the opposite.
  • Enforcement is climbing — the FDA fired off 50+ warning letters to peptide sellers in September 2025 alone.
  • Social-media demand + cheap overseas manufacturing + a regulatory gap = a fast market with no built-in quality guarantee.

What's actually been found in vials

Wrong compound entirely

A community investigation found a "semaglutide" sample was a different peptide under mass spectrometry.

Underdosed / diluted

Label says 10 mg, vial holds a fraction — "works" barely or not at all, and nobody knows why.

Low purity

Budget-tier samples measured 71–84% pure with 10–30% unidentified material, vs 98–99%+ from regulated facilities.

Endotoxins & heavy metals

Fever-causing, sterilisation-proof endotoxin plus detectable lead and mercury have turned up in budget samples.

The core problem.

A clean website says nothing about the vial. The FDA, Australia's TGA and Health Canada have all issued public warnings on unapproved peptide products.

Red flags — walk away

  • No third-party testing, or "COA on request" instead of published batch-specific certificates
  • No batch/lot numbers on product or paperwork
  • Too-good prices; perfect stock of hard-to-source compounds
  • Crypto or gift cards only — no chargeback, no recourse
  • No verifiable business identity; socials-only presence
  • Suspiciously perfect COAs — "100.00%", flawless peaks, no verification link
  • Manufactured urgency, fake reviews, evasive support

Green flags — better, never a guarantee

  • Independent, batch-specific COAs published openly, verifiable on the lab's own portal
  • Batch numbers matching the vial received, with mass-spec identity
  • All results published — not just flattering ones — plus real refund/reship policy
  • Verifiable business, card payments accepted
  • Support that can answer specific technical questions

Lessons from community scam-tracking

  • Contaminants purity tests never look for. Community screening has returned preliminary positives for dangerous adulterants — including fentanyl — in grey-market vials. "99% pure" by HPLC was never designed to catch that.
  • Labs only test what's paid for. No contaminant line on a COA ≠ passed — usually means nobody checked. Screening often happens only after a scare.
  • Same powder, many brands. Much grey stock is hand-relabelled from a few source manufacturers — a "trusted brand" may be the same batch in new packaging.
  • Sellers vanish and rebrand. Unanswered messages, deleted groups, surprise substitute vials, sudden price hikes — the standard exit before a rebrand.

Field reporting distilled from community scam-tracking (K-Hole / @Krysia830073) plus FDA warning letters, TGA and Health Canada notices, and community lab investigations. Treat preliminary community findings as reason for caution pending confirmation — but don't dismiss credible safety warnings while waiting.

Stay safe

How to check a COA is real

A Certificate of Analysis is only as good as its source. What one should contain, how fakes give themselves away, and how to test a product independently.

IN 30 SECONDS
  • A real COA: independent lab + batch number + verifiable online.
  • Purity is not sterility — endotoxin never shows on an HPLC test.
  • A COA proves that batch, not the vial in your hand.
  • Gold standard: post your own sample to a lab.

What a COA should contain

Supplier, the independent testing lab, product and batch/lot number, results, and a date. The tests to expect:

TestWhat it tells you
HPLC purity (%)How much of the sample is the target peptide vs impurities
Mass spectrometry (LC-MS)Identity — that it's actually the molecule claimed
Peptide content / net weightActual milligrams in the vial (not the same as purity)
Endotoxin / sterilityBacterial contamination — the critical one for anything injected
Heavy metals (ICP-MS)Lead, mercury, arsenic and friends
The crucial limitation.

Purity alone says nothing about endotoxin, metals or actual content. A vial can read "99% pure" and still put someone in bed with a fever. For injectables, sterility and endotoxin matter most — treat any missing test as "unknown", never "passed".

Spotting a fake

  • Verify on the lab's own portal. Reputable labs give each report a unique key or QR checked on their site. A forger can fake a PDF, not a record in the lab's database.
  • A named, independent lab. A certificate wearing only the seller's branding is self-made and worthless.
  • Check the client field. Different company named? Borrowed COA describing someone else's product.
  • Match batch number and date on the physical vial to the certificate. A COA validates one batch, ever.
  • Fabrication tells: "100.00%" purity, perfectly symmetrical peaks with no baseline noise, identical COAs across products, dead verification links, mismatched dates.
Even a real COA has a ceiling.

Genuine certificate = that batch, tested once. It doesn't prove what's in the specific vial received — vendors can cherry-pick batches or mismatch vials to real reports. Buyer-initiated testing of the actual product is the only definitive proof.

Labs the community actually uses

LabWhereNotes
PeptideVerifyLondon, UKIndependent (sells nothing); HPLC, LC-MS identity, endotoxin (LAL); QR-verifiable certificates; 3–7 day turnaround
Janoshik AnalyticalPrague, CZMost cited; HPLC purity, LC-MS identity, endotoxin, heavy metals, sterility; QR-verifiable. NOT ISO 17025 — community tool, not regulatory
Vanguard LaboratoryOlympia, WAISO/IEC 17025 accredited; purity, sterility, endotoxin, trace metals
MZ BiolabsTucson, AZDEA-registered, ISO-certified; HPLC-UV + mass-spec identity
Colmaric AnalyticalsSt Petersburg, FLISO-accredited contract lab; accepts individual samples

Aggregators (Finnrick, VialAudit, PeptideBenchmark) collate results but run no assays — context, not proof. Posting a sample for HPLC + identity (+ endotoxin at fuller labs) sidesteps vendor cherry-picking; typical turnaround 1–2 weeks; contact the lab first for sample size and submission steps.

Stay safe

Who actually makes peptides

From the pharma giants behind the GLP-1s to contract manufacturers, compounding pharmacies, and the independent labs vetting the grey market.

IN 30 SECONDS
  • Big pharma and specialist contract manufacturers make the real thing.
  • The legal US compounding window has closed.
  • The grey market fills the gap — with zero oversight.
  • Community testing labs are useful, not regulatory.

The pharmaceutical originators

  • Novo Nordisk — semaglutide (Ozempic, Wegovy, Rybelsus): a ~$31bn franchise in 2024.
  • Eli Lilly — tirzepatide (Mounjaro, Zepbound): ~$45bn total 2024 revenue, driven by it.
  • Full GMP manufacturing and regulatory oversight — the standard the grey market cosplays.

Contract manufacturers (CDMOs)

Most peptide active ingredient is actually made by specialist contract manufacturers, and GLP-1 demand triggered a historic capacity build-out:

  • Bachem (Switzerland) — leading pure-play peptide CDMO, expanding Swiss + California sites.
  • PolyPeptide Group (Switzerland) — six GMP sites since 1952; agreed a ~$1.8bn acquisition by Samsung Biologics in July 2026, the largest Korean biopharma deal to date.
  • CordenPharma — investing €1bn+ into peptide capacity.
  • Plus SK Pharmteco, Almac, Axplora, Neuland Laboratories.

Compounding pharmacies (503A vs 503B)

  • 503A = patient-specific compounding; 503B = larger scale under stricter FDA oversight.
  • During the 2022–25 GLP-1 shortages, compounded semaglutide/tirzepatide were widely and legally available.
  • Shortages declared over (Dec 2024 / Feb 2025) — the FDA has moved to shut the compounding route.
Why this matters.

As the legal compounding route narrows, more demand gets pushed to the unregulated grey market — which makes the verification skills on Check a COA more important, not less.

Independent testing labs

The community's quality backstop — Janoshik Analytical (Prague) is most used: HPLC purity, mass-spec identity, endotoxin, metals and sterility with QR-verifiable certificates. Key caveat: not ISO 17025 accredited, results unsuitable for regulatory submission — a community vetting tool. Accredited alternatives: Vanguard Laboratory, MZ Biolabs. Full table on Check a COA.

Neutral by design.

This page describes the landscape for education. No vendor endorsements — and a clean COA never makes an unapproved compound safe or legal for human use.

Start here

What’s your goal?

Pick what you’re actually trying to achieve. You’ll get the honest verdict, what the evidence says works, and every compound people use for it — rated.

Reference

The big head-to-heads

Seven comparisons that come up constantly — table first, verdict after. Build your own on Compare.

Mounjaro vs Ozempic

MounjaroOzempic
Active drugTirzepatide (Lilly)Semaglutide (Novo Nordisk)
MechanismDual GIP + GLP-1GLP-1 only
UK licenceDiabetes and weight managementType-2 diabetes only
Weight loss in trials~20–22.5% at top dose~5–10% (diabetes dosing)

Different drugs, different licences. Two hormone targets appear to beat one for weight loss — a head-to-head trial confirmed the margin. But "which is right" is a clinical call, not a table read. Note Ozempic isn't licensed for weight at all; that's Wegovy's job.

Wegovy vs Ozempic

WegovyOzempic
Active drugSemaglutideSemaglutide — same molecule
UK licenceWeight managementType-2 diabetes
Max dose2.4 mg weekly2 mg weekly
Weight loss~15% (STEP trials)Lower — not dosed for it

The surprise: same drug. Wegovy is the version licensed and dosed for weight; Ozempic is the diabetes pen people borrow off-label. Using the product designed for the goal means the trial evidence, titration and monitoring all actually match.

Semaglutide vs tirzepatide

SemaglutideTirzepatide
BrandsOzempic, Wegovy, RybelsusMounjaro, Zepbound
MechanismGLP-1 (one pathway)GIP + GLP-1 (two)
Weight loss~15%~20–22.5%
ScheduleWeeklyWeekly

The two molecules behind the boom. Tirzepatide's second pathway shows up in the data. Both prescription-only, both mostly-GI side effects, both need screening — the right one for a given person is a prescriber's call.

Retatrutide vs tirzepatide

RetatrutideTirzepatide
MechanismTriple: GIP + GLP-1 + glucagonDual: GIP + GLP-1
StatusPhase 3 — unapprovedLicensed (UK)
Weight loss~24% ph2; up to 28.7% ph3 topline~20–22.5%
Legally availableNoYes, on prescription

The newest one vs the licensed one. Retatrutide's numbers are striking — and it is still not a medicine. Anything sold as "retatrutide" today is grey-market powder. Watch the trials with interest; don't buy the cosplay.

BPC-157 vs TB-500

BPC-157TB-500
OriginFragment of a stomach-protective proteinSynthetic region of thymosin beta-4
Promoted forTendon, ligament, gutCell migration, flexibility, wounds
Human evidenceEarly — mechanistic and animal work leads; see each card's evidence rating
Approved / sportUnapproved everywhere · both WADA-prohibited

"Which is better" quietly assumes either is proven. In humans, neither is. Different proposed mechanisms, identical evidence problem, identical sourcing risk.

CJC-1295 vs ipamorelin

CJC-1295Ipamorelin
TypeGHRH analogueGHRP / ghrelin-receptor agonist
ActionTells the pituitary to release GHTriggers a GH pulse via a different receptor
Evidence for outcomesRaises GH/IGF-1, yes — proven muscle/performance outcomes, no

Paired because the mechanisms complement — the theory is a bigger, cleaner GH release together. The theory is fine; the outcome data isn't there. Both unlicensed, both banned in sport.

CJC-1295: with DAC vs without

With DACWithout DAC (Mod GRF 1-29)
The differenceA DAC linker that rides albumin in the bloodNone — it's the bare peptide
Half-life~6–8 days~30 minutes
GH patternContinuous elevation — a "GH bleed"Short pulse, gone quickly
Typical rhythm quotedOnce/twice weeklyDaily or multiple times daily, often with a GHRP

Nearly the same molecule; one add-on changes everything. The DAC version keeps IGF-1 elevated for days at a stretch — and a continuously elevated IGF-1 is precisely the kind of unknown that deserves caution, not convenience points. Neither is licensed; both are WADA-banned; the "pulse vs bleed" debate is preference, not settled science.

Reference

Glossary

Plain-English definitions for the terms that come up most in this handbook. Type to filter.

Reference

Straight answers

The questions people actually ask, answered without hedging. Education, not medical or legal advice.

Are peptides legal in the UK?

Depends on the compound and how it's sold. Licensed ones (semaglutide, tirzepatide) are legal on prescription. Most others are sold as "research chemicals" — selling those for human use without a licence breaches the Human Medicines Regulations 2012. Full picture on UK legal status.

Do peptides actually work?

Some, spectacularly — the GLP-1 medicines have world-class trial evidence. Others — BPC-157, TB-500, CJC-1295 — have clear mechanisms and strong preclinical work, with human trials still catching up. The Directory rates all 67 so you can see where each one stands.

Are peptides safe?

Licensed peptides under medical supervision have known, managed risk profiles. Unapproved peptides bought online are different: no quality control, thin or absent human safety data, documented contamination. Responsible use covers what careful looks like.

What does "research use only" actually mean?

A legal label letting sellers supply unlicensed compounds as lab chemicals. Not a safety rating; not approval; not evidence anyone checked it for human use.

Are Ozempic, Wegovy and Mounjaro peptides?

Yes — GLP-1-class peptide medicines, licensed and prescribed in the UK. Not the same thing as research-grade powder sold under the same molecule names.

Is BPC-157 legal or approved?

Not approved anywhere. In the UK it's sold only as a research chemical; using it as a drug is unauthorised. A 2026 US FDA advisory panel narrowly backed pharmacy compounding — an advisory step, not approval. Human evidence remains close to zero.

How do I know if a product is genuine?

Batch-specific COA from an independent lab, verifiable on that lab's own portal — and ideally, testing the actual vial. Walkthrough on Check a COA.

Peptides vs steroids vs SARMs?

Different classes. Steroids are synthetic hormones; SARMs are small molecules on androgen receptors; peptides are short amino-acid chains signalling through many receptors. Different effects, risks, legal positions — advice doesn't transfer between them.

Can peptides be taken as a tablet?

Mostly no — the gut destroys them, hence injections. Exceptions: some nasal formats, oral semaglutide (Rybelsus), and non-peptide mimics like MK-677.

Do you need blood tests before or during use?

Any medically supervised use starts with a baseline and monitors from there — glucose, IGF-1, liver and kidney markers by compound. That's exactly why supervision matters. Panel on Responsible use.

Are peptides banned in sport?

Assume yes. GH secretagogues, IGF-1, TB-500 are named on the WADA list; unapproved compounds like BPC-157 are caught by the blanket rule. Tested athletes: career risk.

How should peptides be stored?

Dry powder: frozen or refrigerated, dark. Reconstituted: fridge, never frozen, used within the preservative window (~4 weeks with bacteriostatic water). Details on Dosing and Reconstitution.

Does Kondition sell or source peptides?

No. Never. This is an education resource; we don't sell, supply, endorse or link to any vendor, and coaches never facilitate buying.

Do you offer coaching, and would it help me?

Yes — that's the business behind this handbook. We coach training, nutrition and accountability; we don't sell, supply or prescribe anything. If you're chasing fat loss or muscle, that's the side with the actual evidence behind it. What we do → or DM “KON” on Instagram and we'll tell you straight whether we can help.

Where should I get proper medical advice?

A qualified clinician — your GP, or a regulated private doctor experienced with these compounds. Nothing in this handbook substitutes for that.

Do the part that actually works

Training, nutrition and accountability, built around you — by coaches who won't sell you a shortcut. Watch how it works and apply if it fits — or just DM me “KON” if you’ve got a question first.

Kondition Coaching — education resource. Educational information only — not medical, pharmaceutical or legal advice, and nothing here is a prescription, protocol or encouragement to obtain, prepare or use any compound. Peptides sold "for research use only" are not approved for human use. Kondition Coaching does not sell, supply, endorse or link to any peptide vendor; coaches route all medical decisions to qualified clinicians and never promote prescription-only medicines to the public. Compiled from public regulator announcements (MHRA, FDA, EMA), peer-reviewed research and primary reporting, current to mid-2026 — verify anything important against primary sources before relying on it.

How this was built · Where coaching fits · Contact · Last reviewed 20 Aug 2026

© 2026 Kondition Coaching · It'll never be perfect. But it can be better.